Journal of Cardiovascular Computed Tomography
Volume 4, Issue 3 , Pages 215-217, May 2010

Suture-induced right coronary artery stenosis

  • Martin Seltmann, MD

      Affiliations

    • Department of Cardiology, University of Erlangen-Nürnberg, Ulmenweg 18, 91054 Erlangen, Germany
    • ,
  • Stephan Achenbach, MD

      Affiliations

    • Department of Cardiology, University of Erlangen-Nürnberg, Ulmenweg 18, 91054 Erlangen, Germany
    • Corresponding Author InformationCorresponding author.
    • ,
  • Gerd Muschiol

      Affiliations

    • Department of Cardiology, University of Erlangen-Nürnberg, Ulmenweg 18, 91054 Erlangen, Germany
    • ,
  • Richard Feyrer, MD, MBA

      Affiliations

    • Department of Cardiac Surgery, University of Erlangen-Nürnberg, Germany

Received 23 December 2009; accepted 2 January 2010. published online 11 January 2010.

Abstract 

An 82-year-old patient developed right heart failure in the days after surgical aortic valve replacement. Coronary CT angiography showed a high-grade stenosis of the mid-right coronary artery. Adjacent suture material seen on noncontrast CT suggested that the lesion was related to surgical closure of the right atrial cannulation site. Invasive angiography confirmed the stenosis, and percutaneous intervention was successfully performed.

Keywords: Coronary CT angiography, Cardiac surgery

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 Conflict of interest: The authors report no conflicts of interest. Dr Achenbach is supported by Bundesministerium für Bildung und Forschung (grant BMBF 01 EV 0708), Bonn, Germany.

PII: S1934-5925(10)00006-7

doi:10.1016/j.jcct.2010.01.005

Journal of Cardiovascular Computed Tomography
Volume 4, Issue 3 , Pages 215-217, May 2010

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